Cervical Diseases Diagnosis and Treatment Center, Chongqing Health Center for Women and Children, China.
Jpn J Infect Dis. 2021 Jul 21;74(4):369-372. doi: 10.7883/yoken.JJID.2020.635. Epub 2020 Nov 30.
Persistent high-risk (HR) human papillomavirus (HPV) infection is an essential risk factor for cervical carcinoma and precancerous lesion. There are differences in HPV distribution among different countries, regions and ethnic groups. The aim of this research was to reveal the epidemiological characteristics of HPV in Chongqing, China. In this study, 13,788 women aged 18 to 78 were screened for 23 HPV genotypes by PCR-reverse dot blot hybridization. The total HPV-positive rate was 19.9% (2,745/13,788), while the positive rates for HR, and low-risk (LR) HPV were 17.3% (2,379/13,788), and 4.6% (638/13,788), respectively. In addition to cervical cancer (CC) and cervical intraepithelial neoplasia (CIN) patients, the HPV infection rates among infertile women and women with gynecological diseases were markedly higher than that among healthy women. The HPV and HR-HPV infection rates in the different age groups showed statistically significant differences, and the prevalence peaks were observed in women under 20 years and over 50 years of age. Overall, HPV-52, HPV-16 and HPV-58 ranked as the top 3 most common subtypes among women in Chongqing. The results of this research provide epidemiological information regarding HPV infection in Chongqing. These data constitute valuable evidence for the prevention and management of cervical carcinoma and development of HPV vaccines.
持续性高危型(HR)人乳头瘤病毒(HPV)感染是宫颈癌及癌前病变的重要危险因素。不同国家、地区及种族 HPV 分布存在差异。本研究旨在揭示中国重庆 HPV 的流行病学特征。本研究采用 PCR-反向斑点杂交法对 13788 例 18 ~ 78 岁女性进行 23 种 HPV 基因型检测。HPV 总阳性率为 19.9%(2745/13788),HR-HPV 和低危型(LR)HPV 的阳性率分别为 17.3%(2379/13788)和 4.6%(638/13788)。除宫颈癌(CC)和宫颈上皮内瘤变(CIN)患者外,不孕和妇科疾病患者 HPV 感染率显著高于健康女性。不同年龄组 HPV 和 HR-HPV 感染率存在统计学差异,感染率高峰出现在 20 岁以下和 50 岁以上年龄组。总体而言,HPV-52、HPV-16 和 HPV-58 是重庆女性中最常见的 3 种亚型。本研究为重庆 HPV 感染的流行病学特征提供了数据支持,为宫颈癌的预防和管理以及 HPV 疫苗的开发提供了有价值的依据。